| Jesse Toth, Llc | |
|
847 W Main St Ste 3 Branford CT 06405-3456 | |
| (307) 258-1326 | |
| Not Available |
| Full Name | Jesse Toth, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 847 W Main St Ste 3, Branford, Connecticut |
| Authorized Official Name and Position | Jesse Jo Toth-henderson (OWNER) |
| Authorized Official Contact | 3072581326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Toth, Llc 32b Marlen Dr North Haven CT 06473-2226 Ph: (307) 258-1326 | Jesse Toth, Llc 847 W Main St Ste 3 Branford CT 06405-3456 Ph: (307) 258-1326 |
| NPI Number | 1851806434 |
|---|---|
| Provider Enumeration Date | 12/05/2017 |
| Last Update Date | 10/14/2021 |
| Certification Date | 10/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851806434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2609 (Connecticut) | Primary |
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